Outpatient Surgery Magazine

Helping Hand - July 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Plus, the stent procedure takes much less time than a trabeculoplasty, the more common and time-consuming treatment for this type of glaucoma. The stents, which run $1,450, can be inserted as a stand- alone procedure or in conjunction with a cataract surgery, and they're reimbursed by CMS. "This procedure is generally reimbursed well by CMS, but you'll want to keep in mind it's billed through a temporary code," says Diane Repko, RN, nurse director of the Eye Surgery Center of Western Ohio. "That means you'll want to do your homework — always pre-autho- rize and be prepared to jump through the hoops some payers make you jump through to get paid using temporary codes." Temporary codes (CPT Category III) represent emergent or experi- mental services, technology and procedures, and are used for data collection purposes to support widespread usage or to provide docu- mentation for the FDA approval process. Beside the implants, eye centers generally have everything they need in place to conduct these procedures. But like much new OR technology, you'll have to rely heavily on your sales rep to talk you through the finer points of the implant. "Reps tend to focus solely on the physician and ignore nurses and techs, which is frustrating," say Ms. Repko. Whenever possible, ask your sales rep to speak to the entire clinical staff outside of the OR to answer questions or concerns about the new procedure, she adds. When it comes to scheduling, you may want to wait for the end of the day to do these procedures — at least initially. "We do a lot of straight-up cataracts, and we don't want to bottle- neck ourselves with delays early on, so we do all our Xen's (stents) at the end of the day," says Ms. Repko. The instrumentation takes about 10 to 15 minutes to set up and the procedure itself takes 10 to 15 min- utes, depending on the surgeon, adds Ms. Repko. J U L Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 5 7

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